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Kudamatsu City: child medical expense subsidy

Yamaguchi Prefecture

In Kudamatsu City, Yamaguchi Prefecture, the child medical expense subsidy covers both outpatient and inpatient care through the end of the fiscal year in which the child turns 18 (end of high-school age). Income limit: none. Co-payment: none. (As of April 1, 2025, Children and Families Agency survey.) There is no out-of-pocket charge for insured care, so it is effectively free.

In Yamaguchi Prefecture, 16 of 19 municipalities cover outpatient care through age 18, and Kudamatsu City is one of them.

Kudamatsu City is one of 15 municipalities in Yamaguchi Prefecture that meet all three conditions: coverage through age 18 for both outpatient and inpatient care, no income limit, and no co-payment.

Municipalities call this program by different names (小児医療費助成, こども医療費助成, 乳幼児医療費助成, 子育て支援医療). This site uses the national survey's term, "child medical expense subsidy".

Covered until (Outpatient)
Age 18(April 1, 2025)
Covered until (Inpatient)
Age 18(April 1, 2025)
Income limit
No(April 1, 2025)
Co-payment
No(April 1, 2025)
Coverage through age 18
Yes(April 1, 2025)
Population
56,637(Resident register, 2024)
Share under 15
13.9%(2020 census)

For applications, refunds and visits outside the prefecture, check the official website of Kudamatsu City.

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Child medical expense subsidy

Child medical expense subsidy
ItemOutpatientInpatient
Covered untilchangedAge 18
through the end of the fiscal year in which the child turns 18 (end of high-school age)
Age 18
through the end of the fiscal year in which the child turns 18 (end of high-school age)
Income limitNoNo
Co-paymentNoNo

Changed since last year

Outpatient · Covered until
Age 12 → Age 18
Inpatient · Covered until
Age 15 → Age 18

Changes from last year (as of April 1, 2024) to this year (as of April 1, 2025).

Source: Children and Families Agency, Survey on Municipal Child Medical Expense Subsidies (municipal form, attachment 3) (As of April 1, 2025). Last checked September 24, 2026

The national survey records conditions as of April 1 and is published in December. Some municipalities have expanded coverage since then. Confirm the current conditions on the municipality's official website.

Frequently asked questions

Until what age does Kudamatsu City subsidize child medical expenses?

Both outpatient and inpatient care are covered through the end of the fiscal year in which the child turns 18 (end of high-school age) (as of April 1, 2025).

There is no out-of-pocket charge for insured care, so it is effectively free.

Are high school students covered in Kudamatsu City?

Yes. Both outpatient and inpatient care are covered through the end of the fiscal year in which the child turns 18 (the end of the third year of high school).

High school students have been covered since April 2025 or earlier.

Does Kudamatsu City apply an income limit?

No (as of April 1, 2025).

Do the conditions differ between outpatient and inpatient care in Kudamatsu City?

No. Both are covered through the end of the fiscal year in which the child turns 18 (end of high-school age); income limit: no; co-payment: no.

Has Kudamatsu City changed its conditions since last year?

Yes. Compared with April 1, 2024, the following changed: outpatient age limit, inpatient age limit. See the rows marked "changed" in the table above.

How does Kudamatsu City compare with other municipalities in Yamaguchi Prefecture?

In Yamaguchi Prefecture, 16 of 19 municipalities cover outpatient care through age 18, and Kudamatsu City is one of them.

Kudamatsu City is one of 15 municipalities in Yamaguchi Prefecture that meet all three conditions: coverage through age 18 for both outpatient and inpatient care, no income limit, and no co-payment.

If I move out of Kudamatsu City, do the same conditions apply?

No. The subsidy is run by the municipality you live in, so the new municipality's conditions apply. Check its page on this site, and confirm the procedure on that municipality's official website.

Nursery and after-school club waiting lists in Kudamatsu City

Kudamatsu City had 9 children on the nursery waiting list as of April 1, 2026 (1,539 applicants, 1,491 enrolled; 2 waiting a year earlier). After-school clubs had 0 children waiting as of May 1, 2026 (preliminary; 1,191 registered).

Nursery and after-school club waiting lists in Kudamatsu City
ItemValueAs of
Nursery waiting list9Apr 1, 2026
Waiting list a year earlier (April 1, 2025)2Apr 1, 2025
Nursery applicants1,539Apr 1, 2026
Children enrolled in nurseries1,491Apr 1, 2026
After-school club waiting list0May 1, 2026 (prelim.)
After-school club registrations1,191May 1, 2026 (prelim.)

"Waiting" follows the national definition: applicants not enrolled, excluding those on parental leave, those who want only a specific facility, and those who have paused their job search. Zero does not guarantee a place at a preferred facility. After-school club figures are preliminary and may be revised.

Source: Children and Families Agency, Summary of Nursery Care Status (April 1, 2026) / Children and Families Agency, Status of After-School Clubs (May 1, 2026, preliminary)

Parks, libraries, community centers and nursery schools in Kudamatsu City

Kudamatsu City has 117 urban parks (54.1 ha), or 10.0 m² per resident (Rank 13 of 19 in the prefecture). It has 1 libraries, 10 community centers, 10 nursery schools and 8 elementary schools.

Urban parks: MLIT inventory as of March 31, 2025. Libraries and community centers: e-Stat, 2021. Nursery and elementary schools: e-Stat.

Places for children: Kudamatsu City
ItemValueRank in prefectureAs of
Urban parks117Rank 4 of 19 in the prefectureMar 31, 2025
Urban park area54.1 ha—Mar 31, 2025
Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation)10.0 m²Rank 13 of 19 in the prefectureMar 31, 2025
Libraries1Rank 16 of 19 in the prefecture2021
Community centers10—2021
Nursery schools10Rank 16 of 19 in the prefecture2023
Kindergartens8—2024
Elementary schools8—2024

Source: MLIT, Inventory of Urban Parks (end of FY2024, as of March 31, 2025) / e-Stat, Statistical Observations of Municipalities 2026 (Statistics Bureau of Japan)

Population, share of children, net migration and doctors in Kudamatsu City

PopulationResident register, 2024
56,637Rank 8 of 19 in the prefecture2024
Share under 15
13.9%Rank 2 of 19 in the prefecture2020 census
Share 65 and over
29.6%2020 census
Share of foreign residents
1.0%2020 census
Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
+40Rank 3 of 19 in the prefecture2024
Births per 1,000 residents
8.1Rank 1 of 19 in the prefecture2023
Nursery schools
102023
Nursery schools per 1,000 children under 15
1.29Rank 16 of 19 in the prefecture2023
Kindergartens
82024
Elementary schools
82024
Doctors per 10,000 residents
15.9Rank 15 of 19 in the prefecture2022
Clinics per 10,000 residents
8.32023
General hospitals
32023
Owner-occupied homes
67.3%2023
Floor area per dwelling
98.0 m²2023
Fiscal strength indexAbove 1 means local tax revenue covers standard spending
0.85Rank 1 of 19 in the prefecture2022
Restaurants
1272021

Source: e-Stat, Statistical Observations of Municipalities 2026 (Statistics Bureau of Japan)

"—" means e-Stat has no value for this item (the Housing and Land Survey does not cover towns and villages).

Compare with similar-sized municipalities in Yamaguchi Prefecture

Compare with similar-sized municipalities in Yamaguchi Prefecture
MunicipalityPopulationOutpatient untilIncome limitCo-payment (outpatient / inpatient)Nursery waiting list
Kudamatsu City56,637Age 18NoNo / No9
Shunan City134,733Age 18NoNo / No0
Iwakuni City124,568Age 15NoNo / No0
Hofu City113,144Age 18NoNo / No0
Sanyoonoda City58,871Age 15NoNo / No0
Hikari City48,015Age 18NoNo / No0
Hagi City41,637Age 18YesYes / Yes0
Nagato City30,207Age 18NoNo / No0
Yanai City29,233Age 18NoNo / No0

Outpatient age limit, income limit and co-payment are the national survey values as of April 1, 2025.

All 19 municipalities in Yamaguchi Prefecture

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Page updated: . You may quote this table. Please credit Machishirabe and the original survey.